| Regimental number | 5668 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Yardman |
| Address | 3?3? Coventry Street, South Melboune Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs D Coutts, 3?2?3? Coventry Street, South Melbourne Victoria |
| Enlistment date | 2 February 1916 |
| Place of enlistment | Prahran, Victoria |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 May 1919 |
